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Results for “TOXOPLASMOSIS”

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PubMed1999

Glomerulonephritis in a neonate with atypical congenital lupus and toxoplasmosis.

The development of glomerulonephritis as a complication of neonatal lupus or congenital toxoplasmosis is extremely rare. We report a case of membranous glomerulonephritis occurring in a neonate with toxoplasmosis and atypical congenital lupus, including high-titer antinuclear antibodies and hypocomplementemia. This case illustrates that glomerulonephritis in the neonate may be induced by passively transferred maternal antibodies.

Basement Membrane↗
PubMed2003

Usefulness of Western blot in serological follow-up of newborns suspected of congenital toxoplasmosis.

The goal of the study reported here was to compare the results of Western blot with other serological methods for testing newborns suspected of having congenital toxoplasmosis. Western blot, enzyme-linked immunosorbent assay, immunoglobulin (Ig)M immunosorbent agglutination assay, and indirect immunofluorescence assay were performed on the sera of 126 neonates collected at birth and at 1 and 3 months of life. Western blot was more sensitive than IgM detection with the immunosorbent agglutination assay (82.6% vs. 69.6%), and the specificity of the two methods was 96.1% and 92.2%, respectively. Among the serological techniques tested, the combination of Western blot (IgG and IgM) with IgM immunosorbent agglutination assay achieved the greatest improvement in the sensitivity of early (postpartum) diagnosis of congenital toxoplasmosis.

Animals↗
PubMed2003

Cerebral toxoplasmosis after autologous peripheral blood stem cell transplantation.

Toxoplasmosis appears to be a rare opportunistic protozoal infection following haematopoietic stem cell transplantation (HSCT). Most cases have been reported in allogeneic HSCT recipients, with only anecdotal reports of infection occurring after autologous transplantation. Reported here is the case of a patient who developed cerebral toxoplasmosis following autologous peripheral blood stem cell transplantation for non-Hodgkin's lymphoma.

Antifungal Agents↗
PubMed2000

Congestive heart failure and myocarditis after seroconversion for toxoplasmosis in two immunocompetent patients.

Two cases of myocarditis and congestive heart failure in immunocompetent patients with seroconversion for toxoplasmosis are reported. Serological tests showed that in the first case the cardiac manifestations occurred at the time of seroconversion (low IgG, raised IgM and IgA), whereas in the second case they occurred several months after the initial infection when IgM was decreasing, IgG levels were very high (>1000 IU/ml) and IgG had high affinity for the antigen. The pathophysiological mechanisms underlying cardiac involvement in acute or chronic toxoplasmosis are discussed.

Adult↗
PubMed2003

Immunopathogenesis of toxoplasmosis.

Toxoplasmosis is a ubiquitous infection affecting 500 million persons around the world, with a range of incidence 12%-90%, increasing with age, education, crowding and sanitary habits. Cats are the definitive host. Infection is primarily congenital but acquired ocular infection has been documented. The review focuses on the immunopathogenesis of toxoplasmosis with emphasis on the eye problem due to its morbidity. The response to infection correlates with both parasitic and retinal antigens. The clinical picture and histopathology is a reflection of the immune response which constitutes early humeral response which presents both systemically and locally primary infection and is elevated with reactivation. This is followed by the cellular response, varying from low grade monocular infilterate a total tissue destruction with response of live parasites especially in immuno-compromised patients. Penetration of the parasite and its enclosure within the parasitophorous vacuole and its eneyst all make its eradicatier impossible. This reflects the variability of antiparasitic therapy that include folate antagonists, macrolides, hydroxy naphthoquindones and fluoroquinolones. Use of corticosteroid should be limited to severe reactions and should be associated with specific therapy.

Adrenal Cortex Hormones↗
PubMed1987

Role of clindamycin in the treatment of central nervous system toxoplasmosis.

Three patients with acquired immune deficiency syndrome (AIDS), central nervous system toxoplasmosis, and hypersensitivity to sulfadiazine were given treatment with clindamycin plus pyrimethamine. All three showed improvement clinically with resolution of symptoms. Two patients had computed tomographic evidence of improvement with reduction in size or clearing of cerebral lesions and the third had resolution of chorioretinitis. Another patient who had a relapse during administration of standard therapy (pyrimethamine plus sulfadiazine) had a clinical response when clindamycin was added to this regimen. Clindamycin in combination with pyrimethamine, or as an adjunct to standard therapy, may be useful in the treatment of central nervous system toxoplasmosis in patients with AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1980

Cerebral blindness and oculomotor nerve palsies in toxoplasmosis.

We studied the clinicopathologic and neuro-ophthalmic manifestations of central nervous system toxoplasmosis in two patients who were being treated with immunosuppressive chemotherapy, one for renal transplantation and the other for systemic lupus erythematosis. Both pateints had oculomotor nerve palsies and later developed visual loss from cerebral involvement. Multifocal central nervous system toxoplasmosis appeared as a complication of their systemic diseases.

Adult↗
PubMed1982

Fuchs' heterochromic cyclitis and ocular toxoplasmosis.

Ocular toxoplasmosis and Fuchs' heterochromic cyclitis are well-defined diseases that have completely different clinical courses. We studied 13 patients (seven men and six women, ranging in age from 18 to 73 years) who had Fuchs' heterochromic cyclitis and the focal necrotizing chorioretinal lesions characteristic of ocular toxoplasmosis. The reason for this association is still unknown, as is the pathogenesis of Fuchs' heterochromic cyclitis. None of the patients had ciliary injection or posterior synechiae, but 11 of the 13 (84.6%) had keratic precipitates, anterior chamber reaction, and cataracts. Six patients (38.4%) had iris transillumination, two (15.3%) had glaucoma, and four (30.7%) had lesions in the fellow eyes.

Adolescent↗
PubMed1984

Retinal neovascularization and ocular toxoplasmosis.

Retinal neovascularization, a rare complication of ocular toxoplasmosis, is a source of vitreous hemorrhage. We examined three patients (all women, 70, 36, and 19 years old) with inactive toxoplasmosis scars associated with occlusion of a retinal arteriole or venule passing through the scar, capillary nonperfusion, and adjacent retinal neovascularization. In two patients photocoagulation of the ischemic areas produced a cessation of hemorrhage and the disappearance of neovascularization. In the third case, the neovascular frond was avulsed from its supplying retinal arteriole without treatment.

Adult↗
PubMed1988

Ocular toxoplasmosis in patients with the acquired immunodeficiency syndrome.

In seven of eight cases of presumed ocular toxoplasmosis in patients with AIDS, the diagnosis was supported by a reduction or resolution of intraocular inflammation and healing of necrotic retinal lesions after initiation of antiparasitic drug therapy including one or more of the following medications: pyrimethamine, sulfadiazine, clindamycin, tetracycline, or spiramycin. In two cases the diagnosis was confirmed histologically. The cases differed clinically and histopathologically from those in immunocompetent patients. There was no evidence that disease originated in preexisting retinochoroidal scars. Lesions frequently were bilateral and multifocal. Vitreous inflammatory reaction was a common clinical finding, but histopathologic examination demonstrated scant retinal inflammation in areas of necrosis. Ocular toxoplasmosis in these patients with AIDS probably resulted from newly acquired infection or dissemination of organisms from nonocular sites of disease. Infections became clinically inactive with drug therapy in all treated patients, but reactivation and progression of disease occurred when therapy was stopped in two of three patients. Severe retinal necrosis led to retinal tears or detachment in three cases. Ocular lesions were the first manifestation of Toxoplasma gondii infection in four of five patients with evidence of multisystem infection.

Acquired Immunodeficiency Syndrome↗
PubMed1994

The pathological manifestations of pulmonary toxoplasmosis in the acquired immunodeficiency syndrome.

Pulmonary toxoplasmosis, once considered a rare complication of human immunodeficiency virus infection, recently has been reported with increasing frequency in patients with the acquired immunodeficiency syndrome (AIDS). However, published descriptions of the pathologic changes have been scanty, involve mainly single cases, and appear to conflict. Four cases of pulmonary toxoplasmosis observed at autopsy in patients with AIDS were reviewed. Two of the patients presented with Toxoplasma pneumonia and in one the diagnosis was made antemortem by open lung biopsy. Two patterns of pulmonary lesions associated with Toxoplasma gondii pneumonia were identified and appeared to be related to the stage and intensity of the infection. A pattern of interstitial pneumonitis/diffuse alveolar damage with a fibrinous alveolar exudate appeared to antecede a necrotizing pneumonia characterized by large areas of parenchymal necrosis. In the former pattern T gondii tachyzoites were found in small numbers and were mainly intracellular, whereas in necrotic areas tachyzoites were numerous and were extracellular as well as intracellular. Histopathologic diagnosis of the infection required careful search for the organisms even when they were plentiful Immunohistochemistry identified far more organisms than could be appreciated with routine stains and confirmed the diagnosis.

AIDS-Related Opportunistic Infections↗
PubMed1983

Cerebral toxoplasmosis in a patient with acquired immunodeficiency syndrome.

Patients suffering from acquired immunodeficiency syndrome (AIDS) are being encountered more and more frequently. Because of their immunosuppressed state, they often present with opportunistic infections of the cerebrum. Herein, the case of a patient with AIDS who had cerebral toxoplasmosis is reported. Although the computed tomographic features are nonspecific for cerebral toxoplasmosis, they are interesting because of the considerable variation in type of enhancement and extent of lesions revealed by injection of contrast medium.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Effect of primary phase feline immunodeficiency virus infection on cats with chronic toxoplasmosis.

The effect of primary phase feline immunodeficiency virus (FIV) infection on clinical signs, hematological values, Toxoplasma gondii oocyst shedding, T. gondii-specific serology, T. gondii-specific cell-mediated immune responses, non-specific cell-mediated immune responses, and lymphocyte subpopulations from cats with experimentally induced chronic toxoplasmosis was studied. No significant clinical or hematologic abnormalities were noted following inoculation with FIV. T. gondii-specific IgM was significantly increased, concanavalin A, T. gondii tachyzoite antigen and T. gondii secretory antigen induction of lymphocyte transformation were significantly suppressed, and CD4+ cell numbers were significantly decreased following inoculation with FIV. The changes were attributed to FIV effects on the immune system and resultant activated toxoplasmosis.

Animals↗
PubMed1988

Cervicofacial toxoplasmosis.

Toxoplasmosis is a common infection often presenting as lymphadenopathy in the cervicofacial region. Despite this it is only rarely considered in differential diagnosis. Two cases are presented, the first showing the usual presentation, the second showing an uncommon presentation of toxoplasmosis.

Adult↗
PubMed1995

Toxoplasmosis masking non-Hodgkin's lymphoma: a case report.

A 39-year-old female with persistent cervical lymphadenopathy is reported. Initial investigations resulted in a diagnosis of toxoplasmosis, but subsequently the patient proved to have high grade immunoblastic non-Hodgkin's lymphoma. This paper highlights the difficulties in accurately diagnosing some cases of either toxoplasmosis or lymphoma, and briefly mentions some of the ongoing technical advances which will increase diagnostic specificity and sensitivity by early detection of genetic mutations.

Adult↗
PubMed1989

Cerebral toxoplasmosis in the acquired immune deficiency syndrome.

We examined the clinical and pathological features of 26 patients who presented with a diagnosis of CNS toxoplasmosis. Patient data was analyzed with respect to demographics, clinical presentation, treatment course and pathology. Patients presented with a wide variety of signs and symptoms. All patients had positive serum antitoxoplasma IgG; ring enhancing lesion(s) were present on all but one brain CT scans. A series of guidelines in the management of CNS toxoplasmosis in AIDS patients are presented. Prior to biopsy, patients with positive serology and characteristic CT scans should receive two weeks of treatment. Biopsy is indicated in those cases with negative serology, atypical presentation, progressive clinical deterioration, or differential response of lesions to empiric therapy.

Acquired Immunodeficiency Syndrome↗
PubMed1986

A review of toxoplasmosis in pigs.

Toxoplasma gondii infection is highly prevalent in pigs in most countries, but little is known of its epizootiology. Transplacental infection appears to be less common than post-natal infection. Most pigs acquire subclinical infection. Clinical toxoplasmosis occurs mostly in young pigs. The frequency of oocyst- vs tissue cyst-acquired infections is unknown. Why clinical toxoplasmosis is more prevalent in Japan than in other countries is puzzling and needs investigation. In experimentally infected pigs, tissue cysts persist in edible organs for several months. They persist longer in the brain, heart and tongue than in other tissues.

Aging↗